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101 NE 102 St (14)OWNER'S NAME 3. 8 r () as PRESENT ADDRESS 101 NE . /0 St un, LICENSE NO. PHONE NO. JOB LOCATION (ST. OR AVE.) PI NF IC)a nd $tf + LOT 15 - 1(0 BLOCK 13 I I SUBDIVISION (YlIa Skna5 01 fnn *1 GENERAL CONTRACTOR lq i r -Roo Inrivn{-rip 5 Zinc} . ADDRESS 30R N LO ' I7() �� S-1-v PHONE NO. LICENSE NO. 131 , 18'�n I BUILDING PERMIT NO. / 1 17' �'} I DATE I - ) l ( � - 7 PERMIT FEE $ ( 0 BUILDER'S BOND y J � y NO. �/ /� I MO DATE l g I ZONE REQUIREMENTS CU. FT. PLAN CUBE CU. FT. EST. COST $ (0, o� 000 DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: (A) • • BUILDING PERMIT AND INSPECTION RECORD - MIAMI SHORES VILLAGE DATE - i) Q NEW CONSTRUCTION I� TYPE P (( - OD' conuth. (onn STORIES - GUn �� ROOF CONSTRUCTION LI ite) INTERIOR CONSTRUCTION REPAIRS DESCRIPTION ALTERATION / I DESCRIPTION ADDITION V SUBMITTED TO PLANNING BOARD APPROVED REJECTED REFERRED TO COUNCIL REASONS RE- SUBMITTED TO PLANNING BOARD SUBMITTFF) TO VILLAGE COUNCIL REMARKS CERTIFICATE OF OCCUPANCY NO. ISSUED BY TO DRAWINGS. SPECIFICATIONS. RESTRICTIONS AND CUBE CHECKED BY: (A) • • BUILDING PERMIT AND INSPECTION RECORD - MIAMI SHORES VILLAGE DATE - i) Q FOUNDATION I 1 ROOF 1 I S SOLAR HEATER BEAMS & LINTELS I POOL 1' iU m r7ir1 - F . -Jr S;,,t r■:,7, i 3LI I '77 I $ 6 INSPECTIONS FRAMING 1 AIR COND. BY RE- INSPECT FINAL 1 ( CLEAN UP S SLAB 1 TUB & TOP OUT SLAB I S SEPTIC TANK I 1 S SEWER 1 I S SOLAR HEATER 1 5 GAS I I $ 1' iU m r7ir1 - F . -Jr S;,,t r■:,7, i 3LI I '77 I $ 6 INSPECTIONS DATE BY RE- INSPECT BY RE- INSPECT BY ROUGHING 1 S FIXTURES TUB & TOP OUT S SEWER SEPTIC TANK SOLAR HEATER FIXTURES GAS SPECIAL PERMITS PERMIT NO. DATE FEE TEMPORARY SERVICE ROUGHING S H. W. HEATER CONN. H. W. HFATER CONN 5 RANGE CONN. I I RANGE CONN. S MOTORS 1 S FIXTURES S S TFMP SERVICE 1 I ROUGHING 1 H. W. HFATER CONN I I I RANGE CONN. I I 1 I I I INSPECTIONS I DATE I BY I INSPECTIONS PLUMBING PERMITS & INSPECTIONS 11 CONTRACTOR f/ t t r 7-7 — F1.11 J ' .) 11 02 mitr(p'; ✓(1:',, / PERMIT NO. (J -( .7 I DATE 'J ,_ — 11 NEW BLDG. ALTERATION 1 ADDITION V / REPAIRS SPECIALS PERMITS I PERMIT NO. TEMPORARY SERVICE CONTRACTOR PERMIT NO. NEW BLDG. INSPECTIONS DATE BY I RE- INSPECTI BY I RE- INSPECTI BY FIXTURES & FINAL I BUILDING INSPECTIONS ELECTRICAL PERMITS & INSPECTIONS 1 DATE I ALTFRATION APPROVAL TO POWER CO. FOR SERVICE DATE I ADDITION DATE I DATE 1 BY PHONE FEE $ 5 Is PHONE FEE $ REPAIRS BY FEE Disapprove (Signed) Chairman Member Member Council Approved } MIAMI SHORES VILLAGE / ` ?? BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build- ing or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work. Date 7_ /2 Owner's Name and Address �- — V_ S No /4/ Street___ / ' 47 Registered Architect and /or Engineer. /' r 2Z GO.Z . Name and address of licensed contractor_. $o$' /?'a _s Location and legal description of lot to be built on: Lot_ __ /.S —e Block .__.__ /_3 Subdivision h?l•/!. i Street and Number where work is to be done State work to be done and purpose of building (by floors) i4e' .AtVZeJ G t�Q - Dt_ and for no other purpose. New Building Remodeling Addition ? Repairs No. of Stories To be constructed of- ..4PPc —• Kind of foundation iaLL0.'T7' Ro Covering Estimated Total cost of improvements $ 4 �, Amount of Permit $._. Zone cubage required plan Cubage Distance to next nearest building Size of Building Lot '4 A" .,/ laximum live load to be borne by each floor___ .. . I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may be sent to fro 0•' 120 -IT' The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Pennanent Supplement, and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of t . e work such public notice or notices as are required by the Act. The undersigned agrees to employ only such sub . ntractors, on irk .t be performed under this permit, as are licensed by Miami Shores Village. / Remarks (Signed) 1 4` _ t Building Inspect My Commission Expires STATE OF FLORIDA, COUNTY OF DADE. ss Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- peared - to me well known, and who, being by me first duly sworn, upon oath deposes and says that he is the of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. Permit No /3,_(-7 . Date Z . 7/ Read, Sworn to and Subscribed before me. Notary Public, State of Florida PLANNING BOARD__ __._ DATE Member Member Member _Date Disapproved Date NOTE: A charge of $1'.p0 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board. ( A re- inspection fee of 51.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. Permit No _ -- _ -- _ I N.7 Applccation i 1 ereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng or other structure herem described This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of th Building Di sion of Miami Shores Village shall be complied with, whether herein specified or not A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address. __. _ l_2_Qt. .c __ - _ __ .._ No.__,,/Q /_ Street . /O Z S7 Registered Architect and /or Engineer _ - .____ - -- -. - _ -- Employing Plumber's Name - __ a12- _ __ - No.. © -- - _ _ _ -- - Street. _- /fie Location and Legal Description Lot.___.2.5- d _.____ —__ _ _ Block._ /-Z Subdivision./? /.410/ Street and Number where work is to be performed -No ..LO" Street State work to be performed and purpose of building (By Floors)._ %'c - 13' , /!=t20.6. -- - -_- _- New Building Remodeling _____ _ -- -- _ . _ . Repairs. _.. _. _ ._ No. of Stories _ Size Septic Tank -_ - -- -- -- - Feet of Drain Tile.. . _ __ _. _ _ __ _ ___ _Dist. Feet of Tank or Drain Field from Well.. Nature of Water Supply. City-Well. Amount of Permit $ - J STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT __ _ Si „ of Soakage Pit ( Signed Date Capacity Gals. - - -- -- - - - - -- - (Signed). - I • -/ a Pk. mb n� :pecto. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obhgations as an e nployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, "n:l 1 .iv om • plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or no ices as are required by tlie Act. The undersigned agrees to employ only such sub contractors, on work to be perfo. ed under this per nit, as are licensed by Miami Shores Village. Master P umber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn ents, personall appeared to me well known, and who, being by me first duly sworn upon oath deposes and says that he is the .... .. ....... ..... . of the above described construction, that he has carefully read the foregoing apphcation, and that he did sign the same, and that all .acts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or worlonanship. CLOSETS BATH TUBS SH LAVA. TORIES NKB SINKS SLOP SINKB LAUNDRY TU88 U RINALS CATCH BASIN FLOOR DRAIN DRINKING FOU TOTAL F %TUREB CONTE. LIST CHICK SEPTIC TANK SEWER CONN. DRAIN FIELD SOAKAGE PIT GREASE TRAP SOLAR HEATER DEEP WELL SPRKLR. SYSTEM SW IPA 'G POOL R. Cowrie. !� -- CHECK Permit No _ -- _ -- _ I N.7 Applccation i 1 ereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build ng or other structure herem described This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations of th Building Di sion of Miami Shores Village shall be complied with, whether herein specified or not A copy of approved plans and specifications must be kept at building during progress of work. Owner's Name and Address. __. _ l_2_Qt. .c __ - _ __ .._ No.__,,/Q /_ Street . /O Z S7 Registered Architect and /or Engineer _ - .____ - -- -. - _ -- Employing Plumber's Name - __ a12- _ __ - No.. © -- - _ _ _ -- - Street. _- /fie Location and Legal Description Lot.___.2.5- d _.____ —__ _ _ Block._ /-Z Subdivision./? /.410/ Street and Number where work is to be performed -No ..LO" Street State work to be performed and purpose of building (By Floors)._ %'c - 13' , /!=t20.6. -- - -_- _- New Building Remodeling _____ _ -- -- _ . _ . Repairs. _.. _. _ ._ No. of Stories _ Size Septic Tank -_ - -- -- -- - Feet of Drain Tile.. . _ __ _. _ _ __ _ ___ _Dist. Feet of Tank or Drain Field from Well.. Nature of Water Supply. City-Well. Amount of Permit $ - J STATE OF FLORIDA, COUNTY OF DADE. My Commission Expires MIAMI SHORES VILLAGE PLUMBING INSPECTION DEPARTMENT APPLICATION FOR PLUMBING PERMIT __ _ Si „ of Soakage Pit ( Signed Date Capacity Gals. - - -- -- - - - - -- - (Signed). - I • -/ a Pk. mb n� :pecto. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obhgations as an e nployer of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida Permanent Supplement, "n:l 1 .iv om • plied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by hin in the work to be performed under this permit; and will post or cause to be posted' for inspection on the site of the work such public notice or no ices as are required by tlie Act. The undersigned agrees to employ only such sub contractors, on work to be perfo. ed under this per nit, as are licensed by Miami Shores Village. Master P umber. Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgn ents, personall appeared to me well known, and who, being by me first duly sworn upon oath deposes and says that he is the .... .. ....... ..... . of the above described construction, that he has carefully read the foregoing apphcation, and that he did sign the same, and that all .acts therein by him stated are true. Notary Public, State of Florida NOTE: A re- inspection fee of $1.00 will be made when such re- inspection is made•necessary by improper notice for inspection, or faulty materials and /or worlonanship. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date (.r ) $ ' 7 b Address /(/ / /</L /0c2 Tax Folio Legal Description Owner/Lessee / Tenant 9c44- i ( /Q //A Owner's Address /6/ /VL , d� i Square Ft. Signature of er and/or Historically Designated: Yes No — 1, /A Notary as t A Owner and/or My Commission Expires: GEORGIA PANTELIS MY COMMISSION # CC 236055 EXPIRES: October 16, 1996 Bonded Thru Notary Public Underwriters FEES: PERMIT re . 00 RADON APPROVED: Zoning ‘'s" o President Date ondo President Date Mechanical Plumbing C.C.F. / O 0 NOTARY Address Master Permit # � 79R g Phone (7 $- ‘-1j 1/ w 11J 1/-.. SS# � Phone el,? Competency # Cc / 6/ �,6 Ins. Co. Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION SM II/Ki-- g Estimated Cost (value) 1/ 9.5 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. Y4ita ° Si • . ture of Contra t r or 0 uilder Notary as to ntractor or Owner- Builder My Commission Expires: >., GEORGIA PANTELIS 11 MY COMMISSION # CC 236055 •r EXPIRES: October 15. 1996 4, OF F„ °`'' Bondod Thru Notary Public Underwriters Electrical le 6 6%5 Date Date TOTAL DUE 00 Engineering PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY (OWNER TO RETAIN COPY) Job Address 10/ ,"lS, E o-2,574 • • •Tax Folio/ JZ1 /✓ /7 D Legal Description ¢ //j /3 .Thg ,9�� Master Permit # Lessee / Tenant )/\06/6!_71/i •ems, ' J a / C d L/ 2 phone 79 t Owner's Address Contracting Co. Qual if iera�v/ State# F7 r Co u petency # 3tk/ W V Architect /Engineer Bonding Company Mortgagor Permit Type (circle one): BUILDING ELECTRICAL WORK DESCRIPTION Square Ft. ��t/ — /' Signature Date: 63t er, and /or Condo President .1 % S S# Notay;as :� •� .�; >I' a �u�t�4ta4� ���pient My Commission Ex i e • tlu M y m ission Expires Sept. 6, 1962 * , :* P U B H p,, Thor bikers Ias.t& - * PERMi4F: AP" S: Fire e. NA, r F aoh` i ng [.L ;QC Mechanical Building Plumbing Address Address Address Address 7 2 phone Ins. Co. COIF //V5 PLUMBING MECHANICAL PAVING FENCE SIGN Estimated Cos/ 73 , 42 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthe authorize the above -named contractor to do the work stated. S amarbucq of ontrector or • •er- Builder e N FiN tq,ygantrac L O� Owner - Builder • My Commission Ekpires : Notary Piblic State If Florida • *P U Ll'C ; 't iffy Commisstbn Expires Shpt. 6, 19T2 1 / 4 -' Other Bonded Thru Bankers Ins. Co. Electrical Engineering